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It is generally safe to stay in a house that smells like sewage for a short time, but you should get the problem fixed as soon as possible. While the level of sewer gas is usually low enough to only cause minor symptoms, prolonged inhalation can lead to headaches, nausea, or respiratory irritation. High levels of gas exposure can be more dangerous, and high concentrations of methane—a component of sewer gas—can pose an explosion risk in enclosed spaces. If you smell sewer gas in your home, ventilate the area and call a professional to locate, assess, and fix the problem, as it will not go away on its own.

Although cesspits may be necessary depending on your main sewage system access or nearby soil quality, they carry a few drawbacks. Cesspools require regular emptying and have relatively high maintenance and pumping costs. Certain areas also disallow the use of cesspools and may require you to cover the cost of existing cesspools to be converted into septic tanks.

Your septic tank naturally contains the good bacteria it needs, so you typically don't have to add more as the system produces them on its own. However, if you wish to replenish the bacteria, you can use natural methods. For example, you can add three rotten tomatoes to your garbage disposal or flush 1/4 ounce of active yeast down the toilet every three months. While store-bought septic enzymes and chemicals are available, many additives are unnecessary and may even harm your system. The most effective way to maintain a healthy bacterial balance is to avoid using chemical drain cleaners, which can kill the beneficial bacteria in your tank.

While homeowners connected to a municipal sewer line still have to keep up with plumbing maintenance, the downside to a septic system is that all the maintenance falls on the homeowners. Not calling in a pro to pump the tank every few years or accidentally flushing or draining the wrong types of materials can quickly cause clogs, which can back up into drains around the home.